45D0894517 CLIA NUMBER - HOMEBOUND HOSPICE INC

Laboratory Demographics

  • CLIA Code: 45D0894517
  • Facility Name: HOMEBOUND HOSPICE INC
  • Facility Address: 450 WEST MAIN STREET
    AZLE, TX
    ZIP 76020
  • Facility Phone: 817 444-7992
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CAMERON FARRIS
  • NPI Number: 1417026527
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 45D0894517
LAB Type Home Health Agency
Facility Name HOMEBOUND HOSPICE INC
Street 450 WEST MAIN STREET
City AZLE
State TX
ZIP 76020
Phone 817 444-7992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Home Health Agency
Lab Director CAMERON FARRIS

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This page was last updated on: 9/29/2025